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Study on symptom monitoring module construction and design of infectious disease surveillance system |
CHEN Chongde GAO Xing WANG Yan HU Hongpu▲ |
Health Information Management Research Office, Institute of Medical Information, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100020, China |
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Abstract Infectious diseases have been one of the most important threats to mankind for a long time, its prevention and control is of great importance. However, the early warning ability of the direct reporting system of infectious diseases in China is not comprehensive at present, and it still needs to be upgraded and improved. In this study, based on the literature review, taking the symptom assignment matrix of infectious diseases established according to the principle of symptom monitoring as the core, a symptom monitoring module model of infectious disease surveillance system is constructed, which is composed of four parts of information input and human-computer interaction, symptom recognition and semantic standardization, disease judgment matrix based on patients’ symptoms, and output and subsequent decision-making and disposal, including the functions of symptom semantic standardization, disease identification according to symptoms, epidemiological data collection, automatic information reporting and comprehensive intelligent judgment. The model can simulate the expert clinical diagnosis and treatment judgment, and perform auxiliary differential diagnosis for similar diseases according to the symptoms of patients, so as to strengthen the probability of infectious disease identification by grass-roots health personnel, and further reduce the layout depth of infectious disease identification to the bottom of the national health coverage network, so as to improve the efficiency of infectious disease monitoring and response system.
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[1] 刘海涛,王颖,李程跃,等.“一带一路”沿线区域及国家传染病疾病负担分布[J].医学与社会,2019,32(1):7-11.
[2] 王文.传染病与大国兴衰——基于历史实例的研究[J].政治学研究,2021(2):136-148,191.
[3] 于保荣,许晴,刘卓,等.新发传染病经济负担的方法学研究[J].卫生经济研究,2017(7):25-29. DOI:10.14055/j.cnki.33-1056/f.20170705.012.
[4] 李斌.国务院关于传染病防治工作和传染病防治法实施情况的报告[J].首都公共卫生,2013,7(5):193-195.
[5] 杨维中.我国传染病监测工作回顾与展望[J].中华预防医学杂志,2013,47(12):1075-1077.
[6] 王坤,毛阿燕,孟月莉,等.我国公共卫生体系建设发展历程、现状、问题与策略[J].中国公共卫生,2019,35(7):801-805.
[7] 史倩楠,马家奇.公共卫生大数据分析方法与应用方向[J].中国数字医学,2016,11(2):10-12.
[8] 高慧,仲委,李莉,等.新形势下我国传染病监测系统发展的思考与建议[J].中国医院管理,2020,40(7):54-55.
[9] Sosin DM. Draft framework for evaluating syndromic surveillance systems [J]. J Urban Health,2003,80(2 Suppl 1):i8-13. DOI:10.1007/pl00022309.
[10] 杜文新,李东成.症状监测对突发公共卫生事件预警意义[J].社区医学杂志,2019,17(7):425-427.
[11] 中国国家标准化管理委员会.国家突发事件预警信息发布系统管理平台与终端管理平台接口规范[EB/OL]. (2017)[2022-1-5]. http://openstd.samr.gov.cn/bzgk/gb/new GbInfo?hcno=E0ADBECD12A77F7EF74C63B79AB E119E.
[12] 中国国家卫生健康委医政医管局.医疗资源[EB/OL]. http://www.nhc.gov.cn/yzygj/ylyxjg/new_list.shtml.
[13] 李丽.呼吸道传染病的主要特点及预防控制办法[J].现代医学与健康研究电子杂志,2018,2(13):140.
[14] 邓姝璇,郝轶,凌云.常见呼吸道病毒感染及其临床特征[J].老年医学与保健,2021,27(5):1088-1092.
[15] 关天姬,肖伟华,杨仁东.珠海市2015—2019年学校传染病症状监测系统数据分析[J].中国学校卫生,2020, 41(9):1417-1419. DOI:10.16835/j.cnki.1000-9817. 2020. 09.039.
[16] Galván JM,Rajas O,Aspa J. Review of Non-Bacterial Infections in Respiratory Medicine:Viral Pneumonia [J]. Arch Bronconeumol,2015,51(11):590-597. DOI: 10.1016/j.arbres.2015.02.015.
[17] 钟将,尹红,张剑.基于学术知识图谱的辅助创新技术研究[J/OL].计算机科学:1-10[2022-01-19]. http://kns.cnki.net/kcms/detail/50.1075.TP.20220112.0925.003.html.
[18] 丁克琴,张良,易波,等.基于三级信息平台的宁波市传染病智能直报模式效果评价[J].疾病监测,2018,33(9):758-761.
[19] 黄锐,陈维政,胡冬梅,等.基于区块链技术的我国传染病监测预警系统的优化研究[J].管理学报,2020,17(12):1848-1856.
[20] 孔园园,高桂玲,张清慧,等.基于医院电子病历直推的传染病疫情报告与管理信息系统的实践[J].疾病监测,2019,34(6):576-580.
[21] 任依,刘艳丽,马力.基层医疗卫生机构设置发热哨点诊室的建议与思考[J].中国全科医学,2021,24(10):1183-1189.
[22] 时影影,吴莹,刘文东,等.2017—2018年江苏省传染病诊疗机构信息报告管理现况[J].江苏预防医学,2021, 32(6):758-760. DOI:10.13668/j.issn.1006-9070.2021. 06.040.
[23] 武培丽,张良军,王绍华,等.大型活动医疗站点疾病症状监测及预警分析[J].预防医学,2021,33(5):493-496. DOI:10.19485/j.cnki.issn2096-5087. 2021.05.015.
[24] 吴晓晓,槐鹏程,叶星,等.低流行状态下麻风防治策略研究——基于山东省皮肤病专科联盟成员单位的麻风症状监测[J].中国麻风皮肤病杂志,2022,38(1):5.
[25] 黄春萍,王兵,王婧,等.杭州市学校症状监测系统在突发公共卫生事件中的作用[J].中国学校卫生,2021,42(4):627-630. DOI:10.16835/j.cnki.1000-9817.2021.04. 034.
[26] 石曾萍,李勇,姚芳,等.基于推拉理论的优质医生下沉基层行为的动力模型构建[J].中国卫生事业管理,2021, 38(11):808-811.
[27] 任依,马力.充分发挥突发公共卫生事件中家庭医生的社区防控作用[J].中华全科医学,2020,18(10):1615-1618. DOI:10.16766/j.cnki.issn.1674-4152.001575.
[28] 蒋智,杨敬源.贵阳市输入性疟疾联防联控模式的建立[J].中国国境卫生检疫杂志,2020,43(3):221-222,224.
[29] 刘金妹,高倩倩,焦敏,等.新发(重大)传染病“全哨点”“多症候”监测体系构建[J].中国公共卫生,2021,37(10):1468-1472. |
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